Off-The-Shelf or Custom-Fitted Orthotic Lookup Tool

Utilize this tool to assist in determining the correct HCPCS code in billing prefabricated orthotic claims. Is the orthotic off-the-shelf or custom-fitted or is there a corresponding code that may be billed depending on the action taken at time of delivery? Off-the-shelf requires minimal self-adjustment and custom-fitted requires more than minimal self-adjustment by a certified orthotist or an individual who has equivalent specialized training.




Disclaimer: This tool does not guarantee coverage for the item(s) billed.


Last Updated Fri, 09 Sep 2022 16:49:12 +0000